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Is Prolactin Level Of 238 A Cause For Concern?

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Posted on Wed, 17 Aug 2016
Question: my daughter prolactium is 238. iam worried about this. what is cause behind this, who is specialist doctor for this, further treatment. hot it decreased. there is not headache nor stress. problem of period exist, but now is ok. kindly tell full detail
doctor
Answered by Dr. Zenab Tambawala (41 minutes later)
Brief Answer:
get TSH test done

Detailed Answer:
Hi there,
welcome to HCM,

The prolactin levels of 238 though high indicates some form of hormonal imbalance.

You need not worry as such imbalances are common in young women.
You should get her TSH levels done if not done already as prolactin and thyroid disorders are known to occur simultaneously .

If her TSH is normal she can take cabergoline or bromocriptine tablets under the supervision of a endocrinologist to normalize the prolactin.

Do not worry, it usually normalises in 3 months.

If prolactin levels are more than 1000 CT scan of brain is advisable but as values are way below that you need not worry.

Hope this helps.
Regards.
Above answer was peer-reviewed by : Dr. Sonia Raina
doctor
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Follow up: Dr. Zenab Tambawala (3 hours later)
cabergoline or bromocriptine tablets CAUSES naseua,headache already used bu us two or thee days.then leave it by us the above medicine, TSH TEST PEROFRM BY US on 26/03/2016 2.33 uLU/ml

TSH LEVEL ON 26/03/2016 WAS 2.33. THE DOCTOR PRESCRIBED MEDICINES CABERGOLINE,STRICT AND LLIOEVRI SYRUP. THE TABLECTS CAUSE NASEUA AND HEADACHE. THEN WE LEAVE THE MEDICINE FOR THAT TIME
doctor
Answered by Dr. Zenab Tambawala (2 hours later)
Brief Answer:
no thyroid issue then

Detailed Answer:
Hi there,

TSH is normal, so its not a thyroid cause.
Taking Cabergoline for just 6 weeks can revert the prolactin levels to normal. Try taking at night time so as to decrease side effects.

And after 6 weeks of therapy repeat prolactin levels. The dosage of cabergoline is important, usually its started at 0.5 mg in two doses per week not daily.

So make sure she is not taking excess dosage.

Hope this helps.
Regards.
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
Dr.
Dr. Zenab Tambawala

OBGYN

Practicing since :2005

Answered : 837 Questions

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Is Prolactin Level Of 238 A Cause For Concern?

Brief Answer: get TSH test done Detailed Answer: Hi there, welcome to HCM, The prolactin levels of 238 though high indicates some form of hormonal imbalance. You need not worry as such imbalances are common in young women. You should get her TSH levels done if not done already as prolactin and thyroid disorders are known to occur simultaneously . If her TSH is normal she can take cabergoline or bromocriptine tablets under the supervision of a endocrinologist to normalize the prolactin. Do not worry, it usually normalises in 3 months. If prolactin levels are more than 1000 CT scan of brain is advisable but as values are way below that you need not worry. Hope this helps. Regards.